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PICC associated anaphylaxis and anaphylactoid reactions

CVC training

In this study, we assessed patients displaying anaphylaxis or anaphylactoid reactions to the PowerPICC SOLO and Groshong PICC (Bard Access Systems) using the Sherlock tip locating system (TLS)” Thornton et al (2019). Abstract: OBJECTIVE: Peripherally inserted central catheters (PICCs) are a mainstay of nonpermanent vascular access devices. In this study, we assessed patients displaying anaphylaxis […]

Endoballooning to expand a stuck central venous catheter

CVC training

The stuck catheter is an uncommon but dreaded complication of dialysis line placement. It always finds the operator unaware and often requires procedure modification or reschedule” Perandini et al (2019). Abstract: The stuck catheter is an uncommon but dreaded complication of dialysis line placement. It always finds the operator unaware and often requires procedure modification […]

Catheter-related thrombosis natural history in adults

central venous

At the moment, little is known about catheter-related thrombosis natural history in adult patients, where the fear for embolic events and thrombus extension often leads to a precautionary behavior as for screening and management” Pinelli and Balsorano (2019). Abstract: Catheter-related thrombosis natural history understanding might play a pivotal role in the way we approach to […]

Hemodialysis vascular access infection caused by Methylobacterium radiotolerans

central venous catheter

Herein, we describe a case of vascular access-related bloodstream infection caused by Methylobacterium radiotolerans in an 82-year-old man who was undergoing hemodialysis and had an implanted permanent pacemaker. Gram-negative rods cultured from his peripheral blood after incubation for 7 days were identified as M. radiotolerans by matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF […]

Patient decision aid for vascular access device choice

infiltration

The result from this analysis indicated that most patients visiting the emergency department are not knowledgeable about their options related to vascular access device placement” Obadeyi et al (2019). Abstract: BACKGROUND: Vascular access device placement is one of the most routinely performed procedures in the emergency department. Despite its high usage, most patients have limited […]

Malposition of intraosseous needles in pediatric patients

IO

Aim of the study was to describe the rates of malposition of intraosseous needles (ION) in pediatric cadavers via post-mortem computed tomography (PMCT)” Maxien et al (2019). Abstract: AIM OF THE STUDY: Intraosseous vascular access is a commonly conducted procedure especially in pediatric resuscitation. Very high success rates for intraosseous (IO) devices are reported. Aim […]

Insulin adsorption capacity within infusion tubing

IV Infusion

Insulin adsorption to clinical materials has been well observed, but not well quantified. Insulin adsorption reduces expected and actual insulin delivery and is unaccounted for in insulin therapy or glycemic control” Knopp et al (2019). Abstract: BACKGROUND: Insulin adsorption to clinical materials has been well observed, but not well quantified. Insulin adsorption reduces expected and […]

Vascular endothelium damage from catheter-induced mechanical stimulation

iv recall

We investigated the effect of catheter-induced mechanical stimulation on venous endothelial cells and catheter sleeve formation and the efficacy of anti-thrombogenic technology for preventing catheter sleeve formation in vivo” Tanabe et al (2019). Abstract: BACKGROUND: Intravenous catheters are widely used but are often removed due to complications associated with catheter sleeve formation. A catheter sleeve […]

PICC flow dynamics examined

subcutaneous drip

This study examined the maximum flow rate and infusion pressure of various peripherally and centrally inserted intravenous catheters using a rapid infusion system (ThermaCor 1200 Rapid Infusion System, Smisson-Cartledge Biomedical)” Wrenn et al (2017). Abstract: The inability to rapidly administer warm intravenous fluids and blood products can potentially threaten a patient’s safety and well-being in […]

Qualitative study of parents’ experiences of paediatric OPAT

Long peripheral IV

To better understand the factors that facilitate and hinder a positive experience of paediatric outpatient parenteral antimicrobial therapy (OPAT)” Carter et al (2019). Abstract: OBJECTIVE: To better understand the factors that facilitate and hinder a positive experience of paediatric outpatient parenteral antimicrobial therapy (OPAT). DESIGN: Qualitative study using semistructured interviews. SETTING: A dedicated paediatric consultant-led […]

National intervention to prevent central line-associated bloodstream infection

chlorhexidine skin antisepsis

In hospitals with a disproportionate burden of health care-associated infection, a multimodal intervention did not reduce rates of CLABSI” Patel et al (2019). Abstract: BACKGROUND: Central line-associated bloodstream infection (CLABSI) remains prevalent in hospitals in the United States. OBJECTIVE: To evaluate the impact of a multimodal intervention in hospitals with elevated rates of health care-associated […]

Current state of vascular access in Singapore

pain relief

This article described the current state of vascular access management for patients with end-stage renal disease in Singapore” Pang et al (2019). Abstract: This article described the current state of vascular access management for patients with end-stage renal disease in Singapore. Over the past 10 years, there has been a change in the demographics of end-stage […]

Impact of vascular access outcome in patients at high bleeding risk

Disinfection caps

We aimed to assess the impact of vascular access site on bleeding complications after percutaneous coronary interventions for HBR patients at 30-day and 2-year follow-up” Jiménez Díaz et al (2019). Abstract: INTRODUCTION AND OBJECTIVES: The prognostic impact of bleeding in high bleeding risk (HBR) patients depending on the location of bleeding and prognosis in nonaccess […]

Hemodynamics involved in ischemic steal syndrome of AV access

dialysis access

The arteriovenous fistula is the preferred access but remains susceptible to complications, among which ischemic steal syndrome is the most serious” Hong (2019). Abstract: Long-term hemodialysis, the main treatment modality for patients with end-stage renal disease, requires reliable vascular access. The arteriovenous fistula is the preferred access but remains susceptible to complications, among which ischemic […]

Effectiveness of an IV protection device in pediatric patients

cvad

The study aimed to examine the efficacy of the I.V. House® UltraDressing® for protecting peripheral intravenous catheters (PIVCs) in pediatric patients” Büyükyılmaz et al (2019). Abstract: PURPOSE: The study aimed to examine the efficacy of the I.V. House® UltraDressing® for protecting peripheral intravenous catheters (PIVCs) in pediatric patients. METHODS: This randomized controlled trial comprised 60 […]

Safety of midline catheters for intravenous therapy

picc dressing

The purpose of this study is to evaluate the safety of MCs for extended intravenous use” Seo et al (2019). Abstract: Background: Midline catheters (MCs) have arisen as alternatives to peripherally inserted central catheters (PICCs) for both general intravenous therapy and extended outpatient parenteral therapy. However, there is a lack of data concerning the safety […]

CLABSI in pediatric home parenteral nutrition patients

parenteral nutrition

To describe antimicrobial resistance patterns and determine the most appropriate empiric antibiotic therapy in HPN dependent children experiencing a community-acquired CLABSI” Raphael et al (2019). Abstract: BACKGROUND: Patients receiving home parenteral nutrition (HPN) are at high-risk for central line associated bloodstream infections (CLABSI). However, there are no published management guidelines for the antibiotic treatment of […]

Successful insertion of PICC in a patient with persistent left superior vena cava

vascular access

After obtaining written informed consent, we present a case where two successful insertions of PICC were performed in a 50-year-old female patient with PLSVC and right SVC” Kang et al (2019). Abstract: RATIONALE: Peripherally inserted central catheters (PICC), normally located at the lower 1/3rd of the superior vena cava (SVC) and cavo-atrial junction, are commonly […]

Distal ulnar approach in the palmar artery for coronary angiography

Intracavity ECG

The study was aimed at proving the preliminary feasibility, safety, and reliability of the right distal ulnar palmar approach in 15 consecutive patients” Valsecchi et al (2019). Abstract: Background: Transradial and translunar approaches, associated with fewer bleeding and vascular complications than transfemoral access, have been adopted and increasingly utilized following a “radial-first strategy.” Approaches that […]

Tiered approach for preventing central line-associated bloodstream infection

clabsi bundle

Because applying all of the evidence en masse (especially in hospitals struggling with high rates of HAI, such as CLABSI) was unlikely to be successful, we used lessons learned from a successful Veterans Affairs collaborative to create a tiered, or stepped, approach to prevent CLABSI” Patel et al (2019). Extract: Because applying all of the […]

Pulmonary artery embolization of implantable port catheter fragment

picc tip

Broken catheter embolism is a rare but often fatal complication of implantable venous access devices” Tandon et al (2019). Abstract: Broken catheter embolism is a rare but often fatal complication of implantable venous access devices. Prompt removal is key to avoiding an adverse outcome. You may also be interested in… [rp4wp] Reference: Tandon, S., Livingston. […]

Risk of major complications after peripheral IV norepinephrine infusion

UEDVT

In the current database analysis, no significant association was found between the use of peripheral intravenous norepinephrine infusions and adverse events” Pancaro et al (2019). Abstract: BACKGROUND: Continuous infusions of norepinephrine to treat perioperative hypotension are typically administered through a central venous line rather than a peripheral venous catheter to avoid the risk of localized […]

Treatment of central venous perforation from central venous catheter

Intravenous Admixing

The present study reports on a case of a 64-year-old female who developed massive hemothorax and hemorrhagic shock after long-term dialysis due to central venous perforation during placement of the central venous catheter” Zhou et al (2019). Abstract: Central venous catheter is one of the most commonly used vascular therapies in patients receiving hemodialysis and […]

Using tablet-type ultrasonography to assess peripheral veins for IV catheterization

ultrasound training

This cross-sectional study aimed to verify the reliability and validity of a tablet-type device in assessing vein size and depth for catheter site selection and detecting thrombus with resultant subcutaneous edema as a cause of catheter failure using US” Takahashi et al (2019). Abstract: Purpose: In clinical settings, ultrasonography (US) has recently been used to […]

Modification of blood test draw order to reduce blood culture contamination

Blood Culture

This study was designed to test whether diversion of blood obtained at venipuncture into a lithium-heparin tube prior to aspiration of blood culture reduces contamination” Zimmerman et al (2019). Abstract: BACKGROUND: Blood culture contamination leads to unnecessary interventions and costs. It may be caused by bacteria in deep skin structures unsusceptible to surface decontamination. This […]

Chlorhexidine gluconate utilization for infection prevention in the NICU

parenteral nutrition

The purpose of this project was to survey neonatal nurse practitioners and nursing leaders across NICUs regarding the current use of chlorhexidine gluconate (CHG) in term and preterm infants” Beekman and Steward (2019). Abstract: BACKGROUND: Central-line-associated bloodstream infection (CLABSI) contributes to significant morbidity and mortality in the neonatal intensive care unit (NICU). Disinfection of skin […]

Risk factors of catheter-related thrombosis in early-stage breast cancer patients

intravenous infusion

Totally implantable venous access devices (TIVADs) are widely used in cancer patients. The main purpose of our study is to observe the incidence and identified risk factors of catheter-related thrombosis (CRT) in breast cancer patients with TIVAD” Tan et al (2019). Abstract: PURPOSE: Totally implantable venous access devices (TIVADs) are widely used in cancer patients. […]

Vascular access type and hemodialysis patient outcomes

dialysis vascular access

This study aimed to examine the impact of VA type on cardiovascular and all-cause mortality as well as the predictors for outcome in elderly Chinese patients” You et al (2019). Abstract: OBJECTIVES: Current studies suggest arteriovenous fistula (AVF) and arteriovenous graft as superior vascular access (VA) types for elderly hemodialysis (HD) patients due to better […]

Implications of the SHM position statement on ultrasound guided vascular access

Ultrasound

In the position statement released by the Society of Hospital Medicine (SHM), Franco–Sadud et al. outline the transformative effects ultrasound can have in obtaining adult vascular access” Anstey and Lai (2019). Extract: Is there a single intervention more important to hospitalized patients than vascular access? Since their advent in the 1950s, small plastic tubes have […]

Reaching one peripheral IV catheter per patient visit

Peripheral IV

By centralizing ownership of vascular access with the team for insertion, management, and securement, the PIV Five Rights is the right approach to achieve the right results in transformation of hospital infusion therapy practices” Steere et al (2019). Abstract: Background: Peripheral intravenous catheter (PIVC) sales per year exceed that of the number of people in […]